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CommercialBilling CodesMedium impact

Network News - 1st Quarter 2023

Blue Cross and Blue Shield of Louisiana·LA·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Blue Cross Blue Shield of Louisiana implemented several operational changes including elimination of claim denials based on member non-response to other coverage inquiries (due to Louisiana Act 166), rebranding of AIM Specialty Health to Carelon Medical Benefits Management, and addition of 44 new drug codes to their claims system.

Action Required

Action needed
Immediately: Update billing software to recognize 44 new drug codes now covered by BCBS Louisiana. For coordination of benefits cases, continue submitting explanation of benefits from primary carriers when BCBS is secondary. Note that AIM Specialty Health is now called Carelon Medical Benefits Management - no process changes required but update any internal documentation referencing the old name.

Affected Billing Codes

90678
C9143
C9144
J0134
J0136
J0173
J0225
J0283
J0611
J0689
J0701
J0703
J0877
J0891
J0892
J0893
J0898
J0899
J1456
J1574
J1611
J1643
J1954
J2021
J2184
J2247
J2251
J2272
J2281
J2311
J2327
J2401
J2402
J3244
J3371
J3372
J9046
J9048
J9049
J9314
J9393
J9394
Q4262
Q4263
Q4264
Q5126
Q4236